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Foot Specialists Of Tyler, Pa
Durable Medical Equipment & Medical Supplies in Tyler, Texas
NPI 1114109170

Foot Specialists Of Tyler, Pa is a Durable Medical Equipment & Medical Supplies based in Tyler, TX. Foot Specialists Of Tyler, Pa practices in Tyler, TX. The NPI Number for Foot Specialists Of Tyler, Pa is 1114109170 and holds a License No. L1375 (Texas).

The current practice location address for Foot Specialists Of Tyler, Pa is 649 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-592-7200 and via fax at 903-592-7211.

Location: 649 S Broadway Ave, Tyler, TX, 75701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114109170
Provider Name
Foot Specialists Of Tyler, Pa
Credential
Provider Entity Type
Organization
Address
649 S Broadway Ave, Tyler, TX, 75701
Phone Number
903-592-7200
Fax Number
903-592-7211
Provider Enumeration Date
12/03/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
5885310001 01 TX PALMETTO PIN
institution
Provider Business Practice Location Address Details
Address
649 S Broadway Ave
City
Tyler
State
Texas
Zip
75701-1677
Phone Number
903-592-7200
Fax Number
903-592-7211
person
Provider Business Mailing Address Details
Address
649 S Broadway Ave
City
Tyler
State
Texas
Zip
75701-1677
Phone Number
903-592-7200
Fax Number
903-592-7211
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
L1375 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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